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As a result, many patients find it more challenging to maintain the healthy eating habits and lower calorie intake that contributed to their weight loss

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muciniphila and SCFA-producing bacteria such as Bifidobacterium bifidum and Butyrivibrio (de la Cuesta-Zuluaga et al., 2017)

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The ability of metformin to increase GLP-1 levels independently of effects on DPP-4 suggests there could be a direct benefit in terms of incretin action by combining metformin with DPP-4 inhibitors

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